| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $247.15 | $1,200.00 | |
Cigna
| Professional | $199.09 | $199.09 | $362.28 | |
Providence
| Professional | $227.43 | $275.20 | $362.28 | |
United
| Professional | $269.64 | $332.09 | $650.28 |